C10030958 / invoice 10000

Species:CANINE
Breed:Kelpie Cross
Age (years):3
Diagnosis or signs:Skin
Consult notes
Appointment Reason: Skin, Appointment Notes: ?MDV, Molly (Dog) - Consultation [Veterinarian : Gordonvale Vet Consults(No Preference)] - Rash on mollys belly -  - 0419717566 - -Sharon - SinclairWeb BookingClient name: Sharon SinclairContact number: 0419717566Email address: bubbaboo@bigpond.net.auPatient name: MollySUMMARY- Presented for a pruritic rash on the ventrum, present for approximately one week.- Tentative diagnosis of resolving superficial pyoderma, likely secondary to contact dermatitis. Mild bilateral otic yeast overgrowth noted.- Plan includes increased bathing, dietary management for weight loss, and restarting parasite prevention. No medications dispensed.HISTORY- Pruritic rash on ventrum for ~1 week. Some scabs noted on chest by O.- Rash is reportedly improving. O has been applying topical aloe vera.- No previous skin issues.- Vaccinations and annual heartworm injection current (August 2025) done by mobile vet Dr Dave- Flea and tick prevention has lapsed this year - o has bravecto spot-on at home, will restart this- Diet: commercial wet and dry food, plus numerous snacks (chicken, cheese).- EDDU normal, no CSVD, BAR at home- O has no other concernsEXAM- Demeanour: BAR; friendly- Body condition score: 6.5/9 (overweight)- Mucous membranes: moist, pink, CRT < 2sec- Teeth: grade 1/4 perio- Eyes: eyes clear, no signs of conjunctivitis, pupils symmetrical and normal size- Ears: Canals appear clean. Otic cytology: scant yeast overgrowth noted bilaterally (Malassezia spp.).- Head/nose/neck: appear normal, no lesions or nasal discharge observed- Heart: heart rate is normal, regular rhythm, synchronous pulses, no murmur detected- Lungs: respiratory rate and effort are normal, clear lung sounds all fields, no crackles/wheezes heard- Abdomen: abdominal palpation normal, no pain or obvious masses identified- Coat & skin: Mild erythematous rash on ventrum, appears to be resolving. No pustules evident today. An old scar is present on the ventrum.- Ambulation & MSK: normal ambulation in consult and no obvious lameness. - Lymph nodes: all palpable LNs are WNLASSESSMENT- Resolving superficial pyoderma/contact dermatitis.- Mild bilateral Malassezia otitis.- Overweight body condition.- Lapsed flea and tick prevention.PLAN- Home care: Increase bathing with Aloveen shampoo to weekly during flare-ups. Advised to use a medicated shampoo (e.g., Malaseb) if bumps or irritation recur.- Prevention: Restart year-round flea and tick prevention.- Diet: Counselled O to reduce snacks to facilitate weight loss.- Monitoring: Recheck if pruritus worsens, rash recurs, or condition fails to resolve with bathing.CLIENT COMMUNCIATION- Discussed that allergies often manifest between 1-4 years of age; this is currently being managed as a single episode.- Advised on signs requiring a re-examination.- Highlighted the importance of consistent flea/tick prevention due to high local tick prevalence.- Recommended future preventative ear cleaning with a drying agent (e.g., Aqua Ear) if otitis becomes a recurrent issue.12/03/2026 5:10:23 PM KAD: follow up sms sent

Animal clinical history (3 most recent)

2026-03-10T00:00:00Z 2:35?pm
Appointment Reason: Skin, Appointment Notes: ?MDV, Molly (Dog) - Consultation [Veterinarian : Gordonvale Vet Consults(No Preference)] - Rash on mollys belly -  - 0419717566 - -Sharon - SinclairWeb BookingClient name: Sharon SinclairContact number: 0419717566Email address: bubbaboo@bigpond.net.auPatient name: MollySUMMARY- Presented for a pruritic rash on the ventrum, present for approximately one week.- Tentative diagnosis of resolving superficial pyoderma, likely secondary to contact dermatitis. Mild bilateral otic yeast overgrowth noted.- Plan includes increased bathing, dietary management for weight loss, and restarting parasite prevention. No medications dispensed.HISTORY- Pruritic rash on ventrum for ~1 week. Some scabs noted on chest by O.- Rash is reportedly improving. O has been applying topical aloe vera.- No previous skin issues.- Vaccinations and annual heartworm injection current (August 2025) done by mobile vet Dr Dave- Flea and tick prevention has lapsed this year - o has bravecto spot-on at home, will restart this- Diet: commercial wet and dry food, plus numerous snacks (chicken, cheese).- EDDU normal, no CSVD, BAR at home- O has no other concernsEXAM- Demeanour: BAR; friendly- Body condition score: 6.5/9 (overweight)- Mucous membranes: moist, pink, CRT < 2sec- Teeth: grade 1/4 perio- Eyes: eyes clear, no signs of conjunctivitis, pupils symmetrical and normal size- Ears: Canals appear clean. Otic cytology: scant yeast overgrowth noted bilaterally (Malassezia spp.).- Head/nose/neck: appear normal, no lesions or nasal discharge observed- Heart: heart rate is normal, regular rhythm, synchronous pulses, no murmur detected- Lungs: respiratory rate and effort are normal, clear lung sounds all fields, no crackles/wheezes heard- Abdomen: abdominal palpation normal, no pain or obvious masses identified- Coat & skin: Mild erythematous rash on ventrum, appears to be resolving. No pustules evident today. An old scar is present on the ventrum.- Ambulation & MSK: normal ambulation in consult and no obvious lameness. - Lymph nodes: all palpable LNs are WNLASSESSMENT- Resolving superficial pyoderma/contact dermatitis.- Mild bilateral Malassezia otitis.- Overweight body condition.- Lapsed flea and tick prevention.PLAN- Home care: Increase bathing with Aloveen shampoo to weekly during flare-ups. Advised to use a medicated shampoo (e.g., Malaseb) if bumps or irritation recur.- Prevention: Restart year-round flea and tick prevention.- Diet: Counselled O to reduce snacks to facilitate weight loss.- Monitoring: Recheck if pruritus worsens, rash recurs, or condition fails to resolve with bathing.CLIENT COMMUNCIATION- Discussed that allergies often manifest between 1-4 years of age; this is currently being managed as a single episode.- Advised on signs requiring a re-examination.- Highlighted the importance of consistent flea/tick prevention due to high local tick prevalence.- Recommended future preventative ear cleaning with a drying agent (e.g., Aqua Ear) if otitis becomes a recurrent issue.12/03/2026 5:10:23 PM KAD: follow up sms sent    Vital Signs    Weight: 23.4;       

Previous claim history (7)

DateClaim #Diagnosis
2025-11-13C9502208TORN DEW CLAW
2025-08-23C9281012VACCINATIONS OR HEALTH CHECKS
2025-08-23C9281012HEARTWORM CONTROL
2025-07-30C9034826COUNCIL REGISTRATION FEES
2025-04-26C8637028OPHTHALMIC (EYE) ABNORMALITY - PRESENTING COMPLAINT
2025-04-17C8622806OPHTHALMIC (EYE) ABNORMALITY - PRESENTING COMPLAINT
2024-11-15C8622903INTOXICATION (POISONING) - RODENTICIDE

Line items(lines with upstream diagnosis are skipped by the model)

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation97.992026-03-10
20000tstarc_diagnostic_test_-_cytology66.512026-03-10

UPM+

  • DG01185OTITIS EXTERNADSTP_otitis_externa
  • DG00592DERMATITISDSTP_skin_-_dermatitis

Variant (sleepy_king)

DERMATITIS
DSTP_skin_-_dermatitis
Conf: 0.840
Threshold: 0.25
Above:
Correct?